But, besides all this, the attack had left him with nerves all unstrung; even his little afternoon walk on Kearney and Market streets exhausted him; any trifling and sudden noise, the closing of a door, the striking of a clock, would cause him to start from his place with a gasp and a quick catch at the heart. Toward evening this little spasm of nerves would sometimes come upon him even when there was nothing to cause it, and now he could no longer drop off to sleep without first undergoing a whole series of these recoils and starts, that would sometimes bring him violently up to a sitting posture, his breath coming short and quick, his heart galloping, startled at he knew not what.
At first he had intended to see a doctor, but he had put off carrying his intention into effect until he had grown accustomed to the whole matter; otherwise, he was well enough, his appetite was good, and when he finally did get to sleep he would not wake up for a good eight hours.
One evening, however, about three months after the first crisis and just as Vandover was becoming well accustomed to the condition of body and mind in which it had left him, the second attack came on. It was fearful, much worse than on the first occasion, and this time there was no room for doubt. Vandover knew that for the moment he was actually insane.
Ellis had been with Vandover most of that afternoon, the two had been playing cards in Vandover’s room until nearly six o’clock. All the afternoon they had been drinking whisky while they played, and by supper-time neither of them had any appetite. Ellis refused to go down, declaring that if he should eat now it would make him sick. Vandover went down alone, but once in the dining-room he found that he could not eat either. However, he knew that it was not the whisky. For two days his appetite had been failing him. The smell of food revolted him, and he left the supper-table, going up to his bare and lamentable room with the feeling that he was about to undergo a long spell of sickness. In the deserted hall, between the elevator and the door of his room, the second crisis came upon him all at once. It was so sudden that it was as if some enemy had leaped upon his back, springing out of the shadow, gripping him from behind, holding him close. Once more the hysteria shook him like a dry leaf. The little nervous starts came so fast that they ran together, mingling to form one long thrill of terror, the blind, unreasoning terror of something unknown; the numbness weighed down upon his brain until consciousness dwindled to a mere point and mercifully dulled the torture of his crisping nerves. It seemed to him that his hands and head were rapidly swelling to enormous size.